DAVIS'S DRUG GUIDE FOR NURSES SEVENTEENTH EDITION
BY APRIL HAZARD VALLERAND PHD LATEST UPDATE.
,Davis's Drug Guide For Nurses 17th Edition By Vallerand, Sanoski
Multiple Choice
1. The Nurse Is Providing Care For A Patient Scheduled To Take Acarbose (Precose)25 Mg 3times
Daily With Meals. The Patient Reports Feeling Sweaty, Weak, And Tremulous. Which Of The Following
Actions By The Nurse Is Best?
A. Reassure The Patient That These Are Common Side Effects With The Medication.
B. Call The Pharmacy To Report An Adverse Drug Reaction.
C. Check The Patient’s Blood Glucose Level.
D. Determine If The Patient Has A History Of Anemia.
Answer: C
See Assessment For Acarbose: Observe The Patient For Signs And Symptoms Of Hypoglycemia. Acarbose
Alone Does Not Cause Hypoglycemia; However, Other Concurrently Administered Hypoglycemic Agents
May Produce Hypoglycemia, Requiring Treatment. Ignoring These Symptoms Would Be Dangerous, But It
Is Not Considered An Adverse Drug Reaction Requiring An Official Report. The Patient Is Experiencing
Symptoms Of Hypoglycemia Not Anemia.
Key: Cognitive Level: Analysis Dif: Medium
Top: Therapeutic Classification: Antidiabetics Ref: Drugguide.Com
2. While Responding To A Rapid Response Called On The Cardiac Step-Down Unit, The Nurse From
Intensive Care Observes The Unit Nurse Massaging A Patient’s Neck And Instructing The Patient To Bear
Down. Which Of The Following Medications Will Most Likely Be Used If The Patient’s Pulse Does Not
Return To Normal?
A. Adenosine (Adenocard)
B. Epinephrine (Adrenaline)
C. Atenolol (Tenormin)
D. Asenapine (Saphris)
Answer: A
See Indications For Adenosine: Adenosine Is Used For The Conversion Of Paroxysmal Supraventricular
,Tachycardia (Pvst) To Normal Sinus Rhythm When Vagal Maneuvers Are Unsuccessful.Epinephrine Is A
Bronchodilator Used In The Management Of Reversible Airway Disease.Atenolol Is A Betablocker Used In
The Management Of Hypertension.Asenapine Is An Antipsychotic Mood Stabilizer Used In The Acute
Treatment Of Schizophrenia Or Manic/Mixed Episodes Associated With Bipolar I Disorder.
Key: Cognitive Level: Application Dif: Medium
Top: Therapeutic Classification: Antiarrhythmics Ref: Page 112 | Page 505 | Page 191 | Page 188
3. The Nurse Is Instructing The Parent Of A 6-Year-Old Patient Recently Started On An Albuterol
(Proair Hfa) Inhaler For Exercise-Induced Asthma. The Nurse Recognizes That Further Teaching Is
Necessary By Which Of The Following Client Statements?
A. “He May Feel Like His Heart Is Racing After He Takes His Inhaler.”
B. “He Can Use The Inhaler As Many Times During Football Practice As He Needs It.”
C. “He Should Avoid Cola And Other Caffeinated Drinks Since They May Increase His Heart Rate.”
D. “He Should Take 2puffs About 15 Min Before Gym Class.”
Answer: B
See Contraindications/Precautions, Interactions, And Dosage For Albuterol.Excess Inhaler Use May Lead To
Tolerance And Paradoxical Bronchospasm.Use With Caffeine-Containing Herbs (Cola Nut, Guarana, Tea,
Coffee) Increases Stimulant Effect.Two Inhalations Every 4–6 Hr Or 2inhalations 15 Min Prior To Exercise).
Tachycardia Is An Expected Side Effect With This Medication.
Key: Cognitive Level: Analysis Dif: Easy
Top: Therapeutic Classification: Bronchodilators Ref: Page117
4. While Providing Care For An Adolescent Patient Newly Prescribed Amitriptyline(Elavil), The Nurse
Shouldbe Most Concerned By Which Of The Following Patient Statements?
A. “My Mouth Seems Really Dry And I’m Thirsty All The Time.”
B. “I Take A Nap Most Afternoons Now Because I Feel Sleepy Sometimes.”
C. “I’m Not Sure Why We Should Even Bother Anymore; Everything Seems So Pointless.”
D. “I Drink A Cup Of Coffee Most Days With Breakfast.”
Answer: C
See Contraindications/Precautions For Amitriptyline: The Use Of This Medication May Increase The Risk Of
Suicide Attempt/Ideation Especially During Early Treatment Or Dose Adjustment; Risk May Be Greater In
Children Or Adolescents.Sedation Is An Expected Side Effect.Dry Mouth Is An Expected Side Effect.There
Is No Directive To Avoid Caffeine With This Medication.
, Key: Cognitive Level: Analysis Dif: Medium
Top: Therapeutic Classification: Antidepressants Ref: Page 145
5. The Nurse Is Caring For A Patient With Otitis Media Who Reports An Allergy To Penicillin. Orders
Are Received For Amoxicillin 500 Mg Every 8 Hr. Which Of The Following Actions By The Nurse Is Best?
A. Provide The Medication As Ordered.
B. Call The Pharmacist To Request A Substitution.
C. Ask The Patient If He Or She Has Taken Amoxicillin In The Past.
D. Hold The Medication.
Answer: D
See Contraindications/Precautions For Amoxicillin. Contraindicated In Hypersensitivity To Penicillin. This
Medication Should Be Held Due To The Stated Allergy To Penicillin.
Key: Cognitive Level: Application Dif: Easy
Top: Therapeutic Classification: Anti-Infectives Ref: Page 148
6. While Caring For A Patient In Hospice Who Is Actively Dying, The Nurse Notes Moderate
Respiratory Distress, Copious Oral Secretion, And A Frequent Moist Cough. Which Of The Following Prn
Medications Would Most Promote Comfort For The Patient?
A. Morphine Sulfate (Morphine) 2mg Iv Bolus
B. Atropine (Atropen) 0.4 Mg Iv Bolus
C. Lorazepam (Ativan) 0.5 Mg Iv Bolus
D. Diphenhydramine (Benadryl) 25 Mg Iv Bolus
Answer: B
See Action For Atropine: Low Doses Decrease Sweating, Salivation, And Respiratory Secretions.Morphine Is
Used For Pain Control.Lorazepam Is Used For Anxiety.Benadryl Is Used For Itching.
Key: Cognitive Level: Analysis Dif: Medium
Top: Therapeutic Classification:Antiarrhythmics | Therapeutic Classification: Anticholinergics Ref: Page 198
BY APRIL HAZARD VALLERAND PHD LATEST UPDATE.
,Davis's Drug Guide For Nurses 17th Edition By Vallerand, Sanoski
Multiple Choice
1. The Nurse Is Providing Care For A Patient Scheduled To Take Acarbose (Precose)25 Mg 3times
Daily With Meals. The Patient Reports Feeling Sweaty, Weak, And Tremulous. Which Of The Following
Actions By The Nurse Is Best?
A. Reassure The Patient That These Are Common Side Effects With The Medication.
B. Call The Pharmacy To Report An Adverse Drug Reaction.
C. Check The Patient’s Blood Glucose Level.
D. Determine If The Patient Has A History Of Anemia.
Answer: C
See Assessment For Acarbose: Observe The Patient For Signs And Symptoms Of Hypoglycemia. Acarbose
Alone Does Not Cause Hypoglycemia; However, Other Concurrently Administered Hypoglycemic Agents
May Produce Hypoglycemia, Requiring Treatment. Ignoring These Symptoms Would Be Dangerous, But It
Is Not Considered An Adverse Drug Reaction Requiring An Official Report. The Patient Is Experiencing
Symptoms Of Hypoglycemia Not Anemia.
Key: Cognitive Level: Analysis Dif: Medium
Top: Therapeutic Classification: Antidiabetics Ref: Drugguide.Com
2. While Responding To A Rapid Response Called On The Cardiac Step-Down Unit, The Nurse From
Intensive Care Observes The Unit Nurse Massaging A Patient’s Neck And Instructing The Patient To Bear
Down. Which Of The Following Medications Will Most Likely Be Used If The Patient’s Pulse Does Not
Return To Normal?
A. Adenosine (Adenocard)
B. Epinephrine (Adrenaline)
C. Atenolol (Tenormin)
D. Asenapine (Saphris)
Answer: A
See Indications For Adenosine: Adenosine Is Used For The Conversion Of Paroxysmal Supraventricular
,Tachycardia (Pvst) To Normal Sinus Rhythm When Vagal Maneuvers Are Unsuccessful.Epinephrine Is A
Bronchodilator Used In The Management Of Reversible Airway Disease.Atenolol Is A Betablocker Used In
The Management Of Hypertension.Asenapine Is An Antipsychotic Mood Stabilizer Used In The Acute
Treatment Of Schizophrenia Or Manic/Mixed Episodes Associated With Bipolar I Disorder.
Key: Cognitive Level: Application Dif: Medium
Top: Therapeutic Classification: Antiarrhythmics Ref: Page 112 | Page 505 | Page 191 | Page 188
3. The Nurse Is Instructing The Parent Of A 6-Year-Old Patient Recently Started On An Albuterol
(Proair Hfa) Inhaler For Exercise-Induced Asthma. The Nurse Recognizes That Further Teaching Is
Necessary By Which Of The Following Client Statements?
A. “He May Feel Like His Heart Is Racing After He Takes His Inhaler.”
B. “He Can Use The Inhaler As Many Times During Football Practice As He Needs It.”
C. “He Should Avoid Cola And Other Caffeinated Drinks Since They May Increase His Heart Rate.”
D. “He Should Take 2puffs About 15 Min Before Gym Class.”
Answer: B
See Contraindications/Precautions, Interactions, And Dosage For Albuterol.Excess Inhaler Use May Lead To
Tolerance And Paradoxical Bronchospasm.Use With Caffeine-Containing Herbs (Cola Nut, Guarana, Tea,
Coffee) Increases Stimulant Effect.Two Inhalations Every 4–6 Hr Or 2inhalations 15 Min Prior To Exercise).
Tachycardia Is An Expected Side Effect With This Medication.
Key: Cognitive Level: Analysis Dif: Easy
Top: Therapeutic Classification: Bronchodilators Ref: Page117
4. While Providing Care For An Adolescent Patient Newly Prescribed Amitriptyline(Elavil), The Nurse
Shouldbe Most Concerned By Which Of The Following Patient Statements?
A. “My Mouth Seems Really Dry And I’m Thirsty All The Time.”
B. “I Take A Nap Most Afternoons Now Because I Feel Sleepy Sometimes.”
C. “I’m Not Sure Why We Should Even Bother Anymore; Everything Seems So Pointless.”
D. “I Drink A Cup Of Coffee Most Days With Breakfast.”
Answer: C
See Contraindications/Precautions For Amitriptyline: The Use Of This Medication May Increase The Risk Of
Suicide Attempt/Ideation Especially During Early Treatment Or Dose Adjustment; Risk May Be Greater In
Children Or Adolescents.Sedation Is An Expected Side Effect.Dry Mouth Is An Expected Side Effect.There
Is No Directive To Avoid Caffeine With This Medication.
, Key: Cognitive Level: Analysis Dif: Medium
Top: Therapeutic Classification: Antidepressants Ref: Page 145
5. The Nurse Is Caring For A Patient With Otitis Media Who Reports An Allergy To Penicillin. Orders
Are Received For Amoxicillin 500 Mg Every 8 Hr. Which Of The Following Actions By The Nurse Is Best?
A. Provide The Medication As Ordered.
B. Call The Pharmacist To Request A Substitution.
C. Ask The Patient If He Or She Has Taken Amoxicillin In The Past.
D. Hold The Medication.
Answer: D
See Contraindications/Precautions For Amoxicillin. Contraindicated In Hypersensitivity To Penicillin. This
Medication Should Be Held Due To The Stated Allergy To Penicillin.
Key: Cognitive Level: Application Dif: Easy
Top: Therapeutic Classification: Anti-Infectives Ref: Page 148
6. While Caring For A Patient In Hospice Who Is Actively Dying, The Nurse Notes Moderate
Respiratory Distress, Copious Oral Secretion, And A Frequent Moist Cough. Which Of The Following Prn
Medications Would Most Promote Comfort For The Patient?
A. Morphine Sulfate (Morphine) 2mg Iv Bolus
B. Atropine (Atropen) 0.4 Mg Iv Bolus
C. Lorazepam (Ativan) 0.5 Mg Iv Bolus
D. Diphenhydramine (Benadryl) 25 Mg Iv Bolus
Answer: B
See Action For Atropine: Low Doses Decrease Sweating, Salivation, And Respiratory Secretions.Morphine Is
Used For Pain Control.Lorazepam Is Used For Anxiety.Benadryl Is Used For Itching.
Key: Cognitive Level: Analysis Dif: Medium
Top: Therapeutic Classification:Antiarrhythmics | Therapeutic Classification: Anticholinergics Ref: Page 198
